Development of high-throughput multiplex serology to detect serum antibodies against Coxiella burnetii

The causative agent of Q fever, the bacterium Coxiella burnetii (C. burnetii), has gained increasing interest due to outbreak events and reports about it being a potential risk factor for the development of lymphomas. In order to conduct large-scale studies for population monitoring and to investiga...

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Hauptverfasser: Jeske, Rima (VerfasserIn) , Dangel, Larissa (VerfasserIn) , Sauerbrey, Leander (VerfasserIn) , Frangoulidis, Dimitrios (VerfasserIn) , Teras, Lauren R. (VerfasserIn) , Fischer, Silke F. (VerfasserIn) , Waterboer, Tim (VerfasserIn)
Dokumenttyp: Article (Journal)
Sprache:Englisch
Veröffentlicht: 17 November 2021
In: Microorganisms
Year: 2021, Jahrgang: 9, Heft: 11, Pages: 1-11
ISSN:2076-2607
DOI:10.3390/microorganisms9112373
Online-Zugang:Verlag, lizenzpflichtig, Volltext: https://doi.org/10.3390/microorganisms9112373
Verlag, lizenzpflichtig, Volltext: https://www.mdpi.com/2076-2607/9/11/2373
Volltext
Verfasserangaben:Rima Jeske, Larissa Dangel, Leander Sauerbrey, Dimitrios Frangoulidis, Lauren R. Teras, Silke F. Fischer and Tim Waterboer

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520 |a The causative agent of Q fever, the bacterium Coxiella burnetii (C. burnetii), has gained increasing interest due to outbreak events and reports about it being a potential risk factor for the development of lymphomas. In order to conduct large-scale studies for population monitoring and to investigate possible associations more closely, accurate and cost-effective high-throughput assays are highly desired. To address this need, nine C. burnetii proteins were expressed as recombinant antigens for multiplex serology. This technique enables the quantitative high-throughput detection of antibodies to multiple antigens simultaneously in a single reaction. Based on a reference group of 76 seropositive and 91 seronegative sera, three antigens were able to detect C. burnetii infections. Com1, GroEL, and DnaK achieved specificities of 93%, 69%, and 77% and sensitivities of 64%, 72%, and 47%, respectively. Double positivity to Com1 and GroEL led to a combined specificity of 90% and a sensitivity of 71%. In a subgroup of seropositives with an increased risk for chronic Q fever, the double positivity to these markers reached a specificity of 90% and a sensitivity of 86%. Multiplex serology enables the detection of antibodies against C. burnetii and appears well-suited to investigate associations between C. burnetii infections and the clinical manifestations in large-scale studies. 
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